Active NPI
Nikeo Nichelle Lewis, LPN
- Licensed Practical Nurse
- Lynnwood, WA
National Provider Identifier
1740087097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 336525
- Practice address
- 2322 196TH St SW Ste 100
Lynnwood, WA 98036-7010 - Phone
- (425) 672-7293
- NPI assigned
- Feb 25, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 336525 | MS | Primary |
Addresses
Primary practice location
2322 196TH St SW Ste 100
Lynnwood, WA 98036-7010
Mailing address
1102 Rushing Ave
Hattiesburg, MS 39402-2640
Phone (504) 206-7924
Other names 1
- Ms. Nikeo Nichelle Brown
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 336525 | MS | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WCHS, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740441600000",
"number": "1740087097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1102 RUSHING AVE",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394022640",
"telephone_number": "504-206-7924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2322 196TH ST SW STE 100",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980367010",
"telephone_number": "425-672-7293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "NIKEO",
"middle_name": "NICHELLE",
"name_prefix": "Mrs.",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-25",
"last_updated": "2025-02-25",
"certification_date": "2025-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "MS",
"license": "336525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NIKEO",
"last_name": "BROWN",
"middle_name": "NICHELLE",
"prefix": "MS.",
"credential": "LPN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.